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Drain Layers Permit 28 Simcka Drive
TOWN OF SOUTH WI N DSOR DEPARTMENT 'OF�POLL'UTION CONTROL South Windsor, Connecticut DRAIN LAYER' S PERMIT N0 414 Sept. 14 , 1973— Z� Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at Lot #33) 1rka Dr• on the i,;''Bt side, betweenN©rthvief & Quarry Brock at premises owned by Allen Man whose address is and to Z Lay House Drain, Repair House Drain, Lay Main, Other for residential occupancy or use, with One (1) Family Units, with acres. Type of Sewage to be connected under this permit: 6NITARY SEWAGE) INDUSTRIAL WASTES, OR Connection will be made with six inch ( 6) plastic pipe Permit to be issued to A. Garadiana the holder of Drain Layer's License No. Permit will expire on tv'Qy. 14 19 73 . The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse side thereof. Applicant has received Town Permit No. and/or C H D Permit No. for street excavation. SPECIAL CONDITIONS rune Signed Connection Charge Paid $ 09-12-73 Licensed Drain Layer Per., E, MoniZ (Sig) Issued by Ralph A. 'tarkweather Jr. Tax Collector Permit Fee: Paid $ 1.5.00 C r' INSPECTION: heck Sat. insp. fee 10,00 INITIAL (Sig) FINAL �� (Sig) APPROVED - / (Date) (Sig) v INSPECTOR d N \6,q Dx2- NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION 407 191 Aae OWNER TYPE OF WORK .Sri-iw DATE PERMIT Z11, / PIPE f-k-Aw4 INSTALLER INSPECTOR 'S DRAWN BY 'Y